Inspection · 2022-09-23
Date
2022-09-23
Complaint Related
No
Licensing Inspector
Rene Old
(757) 404-1784
(757) 404-1784
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No
Areas Reviewed
8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks (8VAC20-770)
Inspector Notes
An unannounced renewal inspection was conducted on 09/23/2022 from 4:38 pm - 6:00 pm. At the time of entrance there were 11 school age children in care with two staff. Children were observed watching a video in the cafeteria and playing large motor games in the cafeteria. Records were reviewed for three staff and three children.
Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the program.
Violations
4Standard 8VAC20-780-200-A
Based on interview, the center failed to have a qualified program director or a qualified back-up program director who meets one of the director qualifications who shall regularly be on site at least 50% of the center's hours of operation.
Evidence:
1. Staff 1 and staff 2 indicated that the individual who had been designated as the program director for the program, staff 3, had not been present at least 50 % of the time each week since the program opened on 09/06/2022.
2. Staff 3 confirmed that he had not been present at the program at least 50% of the time each week since the program began operation on 09/06/2022.
Evidence:
1. Staff 1 and staff 2 indicated that the individual who had been designated as the program director for the program, staff 3, had not been present at least 50 % of the time each week since the program opened on 09/06/2022.
2. Staff 3 confirmed that he had not been present at the program at least 50% of the time each week since the program began operation on 09/06/2022.
Plan of Correction: A qualified program director will be at this program at least 3 days a week beginning Monday, October 3, 2022.
Standard 8VAC20-780-240-A
Based on record review, the center failed to ensure that staff complete The Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.
Evidence:
1. Staff 2, hire date 09/17/2021, has not completed Virginia Preservice training.
2. Administrative staff confirmed that staff 2 had not completed this training.
Evidence:
1. Staff 2, hire date 09/17/2021, has not completed Virginia Preservice training.
2. Administrative staff confirmed that staff 2 had not completed this training.
Plan of Correction: Administrative staff stated that staff 2 will complete this training within the week.
Standard 8VAC20-780-340-A
Based on observation, the center failed to ensure that when staff are supervising children, they shall always ensure their care and protection.
Evidence:
1. Staff failed to provide for the protection of a child as demonstrated by the following:
a. When the inspection arrived at 4:38 pm the door to the cafeteria was ajar.
b. As the inspector was introducing herself to staff 1, child 1 age 9 years, was observed walking out of the door without any adult supervision.
c. Staff 1 stated the child 1 had been signed out by her parent and that the parent was standing at the door however, the parent of child 1 was not standing outside of the door.
d. The parent of child 1 was sitting in his vehicle, which was packed in the parking lot of the school.
e. Staff 1 stated she was not aware that the parent had left the door open and had additionally walked away from the doorway after signing child 1 out for the day.
Evidence:
1. Staff failed to provide for the protection of a child as demonstrated by the following:
a. When the inspection arrived at 4:38 pm the door to the cafeteria was ajar.
b. As the inspector was introducing herself to staff 1, child 1 age 9 years, was observed walking out of the door without any adult supervision.
c. Staff 1 stated the child 1 had been signed out by her parent and that the parent was standing at the door however, the parent of child 1 was not standing outside of the door.
d. The parent of child 1 was sitting in his vehicle, which was packed in the parking lot of the school.
e. Staff 1 stated she was not aware that the parent had left the door open and had additionally walked away from the doorway after signing child 1 out for the day.
Plan of Correction: Staff will be retrained to follow policies that require children to be released only when a parent is physically present to depart with the child.
Staff will closely monitor the door to ensure it is properly closed.
Staff will closely monitor the door to ensure it is properly closed.
Standard 8VAC20-780-60-A
Based on record review and interview, the center failed to ensure that children's records contain all of the required elements.
Evidence:
1. Child 1 lacked a written care plan for a diagnosed food allergy which was indicated on her enrollment form and physical.
a. Staff confirmed that a written allergy care plan was not on file for child 1.
2. The enrollment record for child 1 lacked a second designated emergency contact.
3. Enrollment dates were not listed on the enrollment records for child 1, child 2 and child 3.
Evidence:
1. Child 1 lacked a written care plan for a diagnosed food allergy which was indicated on her enrollment form and physical.
a. Staff confirmed that a written allergy care plan was not on file for child 1.
2. The enrollment record for child 1 lacked a second designated emergency contact.
3. Enrollment dates were not listed on the enrollment records for child 1, child 2 and child 3.
Plan of Correction: Staff stated that an emergency allergy action plan will be obtained for child 1. A second emergency contact will be obtained as well.
Enrollment dates will be added to all children's enrollment records.
Enrollment dates will be added to all children's enrollment records.